NPI | 1972987485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1580) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002888) |
152W00000X Optometrist (Licence: CO OPT0003367) | |
Enumeration Date | 2015-07-14 |
Last Update Date | 2022-11-09 |